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NPI Code Detail

MEDICARE: MRS. ANN ANUNTA RPH

MEDICARE: MRS. ANN ANUNTA RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH32476CA

General Provider Information

NPI Number : 1568782456
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN ANUNTA RPH
Provider Business Mailing Address
First Line : 3745 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-2202
Country : US
Telephone Number : 626-351-0515
Fax Number : 626-351-6207
Provider Business Practice Location Address
First Line : 3745 E FOOTHILL BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-2202
Country : US
Telephone Number : 626-351-0515
Fax Number : 626-351-6207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2010
Last Update Date : 06/03/2010

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